Active NPI
Priscilla Marie Khademi Kalantari, LMFT
- Marriage & Family Therapist
- Bryan, TX
National Provider Identifier
1609028026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204185
- Practice address
- 3201 University Dr E Ste 325-1
Bryan, TX 77802-3475 - Phone
- (949) 686-5609
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204185 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT147393 | CA |
Addresses
Primary practice location
3201 University Dr E Ste 325-1
Bryan, TX 77802-3475
Mailing address
PO Box 9584
College Station, TX 77842-9584
Phone (949) 449-5933
Other practice location 1
3246 Arundala Way
Bryan, TX 77808-1490
Phone (949) 686-5609
Other practice location 2
3201 University Dr E Ste 325-1
Bryan, TX 77802-3475
Phone (979) 307-0479
Other practice location 3
3246 Arundala Way
Bryan, TX 77808-1490
Phone (979) 307-0479
Other names 1
- Priscilla Marie Palacio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240222000073 | TX | Practitioner - Marriage and Family Therapist | 9234573866 | Practice locations: Bryan, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT147393 | CA | MD | Marriage & Family Therapist |
| 204185 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1609028026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9584",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778429584",
"telephone_number": "949-449-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E STE 325-1",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023475",
"telephone_number": "949-686-5609"
}
],
"practiceLocations": [
{
"address_1": "3246 Arundala Way",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "TX",
"postal_code": "778081490",
"country_code": "US",
"telephone_number": "949-686-5609",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3201 University Dr E Ste 325-1",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "TX",
"postal_code": "778023475",
"country_code": "US",
"telephone_number": "979-307-0479",
"fax_number": "979-205-5312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3246 Arundala Way",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "TX",
"postal_code": "778081490",
"country_code": "US",
"telephone_number": "979-307-0479",
"fax_number": "979-205-5312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHADEMI KALANTARI",
"first_name": "PRISCILLA",
"middle_name": "MARIE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204185",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT147393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRISCILLA",
"last_name": "PALACIO",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.